| Entity Name: | SPORTS MEDICINE INSTITUTE INTERNATIONAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Jul 2013 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L13000094980 |
| Address: | 17307 PAGONIA DR SUITE 100, CLERMONT, FL 34711 |
| Mail Address: | 17307 PAGONIA DR SUITE 100, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366884496 | 2013-07-17 | 2013-12-10 | 1925 DON WICKHAM DR, CLERMONT, FL, 347111915, US | 1925 DON WICKHAM DR, CLERMONT, FL, 347111915, US | |||||||||||||||||||
|
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| Phone | +1 352-243-9700 |
| Fax | 3522435795 |
Authorized person
| Name | TRACEE LEIANN RAY |
| Role | PRESIDENT |
| Phone | 3522439700 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | ME0037707 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAY, JAMES M | Agent | 17307 PAGONIA DR SUITE 100, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| RAY, JAMES M | Manager | 17301 Pagonia Dr., ste 230C CLERMONT, FL 34711 |
| HUFFSTUTLER, KENNETH | Manager | 17307 PAGONIA DR SUITE 100, CLERMONT, FL 34711 |
| RAY, TRACEE L | Manager | 17307 PAGONIA DRIVE, SUITE 100, CLERMONT, FL 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC AMENDMENT | 2014-11-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-09-30 | 17307 PAGONIA DR SUITE 100, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2014-09-30 | 17307 PAGONIA DR SUITE 100, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-09-30 | RAY, JAMES M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-09-30 | 17307 PAGONIA DR SUITE 100, CLERMONT, FL 34711 | No data |
| LC AMENDMENT | 2014-09-30 | No data | No data |
| LC AMENDMENT | 2014-02-03 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2014-11-17 |
| LC Amendment | 2014-09-30 |
| ANNUAL REPORT | 2014-03-10 |
| LC Amendment | 2014-02-03 |
| Florida Limited Liability | 2013-07-02 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
